Chloride-dominant salt sensitivity in the stroke-prone spontaneously hypertensive rat

Autor: Sai-Li Yi, Olga Schmidlin, Andrew W. Bollen, R. Curtis Morris, Masae Tanaka
Rok vydání: 2005
Předmět:
Zdroj: Hypertension (Dallas, Tex. : 1979). 45(5)
ISSN: 1524-4563
Popis: We tested the hypothesis that in the stroke-prone spontaneously hypertensive rat (SHRSP), the Cl − component of dietary NaCl dominantly determines its pressor effect (salt-sensitivity). We telemetrically measured systolic aortic blood pressure (SBP) in SHRSP loaded with: nothing (CTL); NaCl alone (NaCl) (44 mmol/100 grams chow); KCl (KCl) alone (44 mmol); NaCl (44 mmol) combined with KHCO 3 (77 mmol) (NaCl/KBC) or with KCl (77 mmol) (NaCl/KCl). Across all groups, from age 10 to 15 or 16 weeks, SBP increased linearly (mm Hg/week) (dp/dt, change in SBP as a function of time): CTL, 5.6; NaCl, 9.5; KCl, 8.8; NaCl/KBC, 9.1; and NaCl/KCl, 14.6. Thus, the value of dp/dt in KCl matched that in NaCl. The value of dp/dt in NaCl/KCl exceeded that in NaCl in direct proportion to the greater Cl − load. Across all groups, only Cl − load bore a direct, highly linear relationship with dp/dt. Strokes occurred only, but always with SBP >250 mm Hg, a value observed almost exclusively in NaCl/KCl. Thus, Cl − dominantly determined the pressor effect induced with dietary NaCl, both with NaCl loaded alone and combined with either KCl or KHCO 3 , and thereby likely determined the occurrence of stroke with NaCl loading. Over the initial 3-day period of NaCl loading and exacerbating hypertension, external balance of Na + increased similarly among all groups. However, within 24 hours of initiating NaCl loading, urinary creatinine excretion decreased in direct proportion to dp/dt and urinary Cl − excretion. We conclude that in the SHRSP, the Cl − component of a dietary NaCl dominantly determines salt sensitivity and thereby phenotypic expression. We suggest that Cl − might do so by inducing renal vasoconstriction.
Databáze: OpenAIRE